Individual
MS. SUNNY SUSAN COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4500 W MIDWAY RD, FORT PIERCE, FL 34981-4823
(772) 468-5600
(772) 467-3055
Mailing address
4500 W MIDWAY RD, FORT PIERCE, FL 34981-4823
(772) 468-5600
(772) 467-3055
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW 8810
FL
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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